Dr. MICHELE RENA AVILA O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1861621724- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 11820 S STATE ST SUITE 200, DRAPER, UT, 840207133
- Phone
- (801) 568-0200
- Fax
- (801) 563-0200
Specialties & Taxonomies
Optometrist
License: KS #1861
Optometrist
License: OK #2594
Optometrist
License: OH #5837
Optometrist
Primary License: UT #9439507-9934